Organization Active NPI

Houstonian Medical Associates PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1679753016
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F4253 Issued in TX
Legal business name
HOUSTONIAN MEDICAL ASSOCIATES PA
Practice address
123 N Post Oak LN
Suite 420
Houston, TX 77024-7715
Phone
(713) 680-2611
Fax
(713) 680-2303
NPI assigned
Nov 13, 2007
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Charles Matocha, M.D.NPI 1689754632
Title
President
Phone
(713) 680-2611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F4253 TX Primary

Addresses

Primary practice location

123 N Post Oak LN
Suite 420
Houston, TX 77024-7715

Mailing address

123 N Post Oak LN
Suite 420
Houston, TX 77024-7715
Phone (713) 680-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060403000547 TX Part B Supplier - Clinic/Group Practice 7719995711 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

111 N Post Oak Ln
Houston, TX 77024
Phone (713) 316-5945

123 N Post Oak Ln
Ste 420
Houston, TX 77024
Phone (713) 680-2611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1679753016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N POST OAK LN",
            "address_2": "SUITE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247715",
            "telephone_number": "713-680-2611",
            "fax_number": "713-680-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N POST OAK LN",
            "address_2": "SUITE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247715",
            "telephone_number": "713-680-2611",
            "fax_number": "713-680-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTONIAN MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "MATOCHA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-680-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.